Oldani Michael J
University of Wisconsin-Whitewater, WI 53211, USA.
Transcult Psychiatry. 2009 Mar;46(1):131-56. doi: 10.1177/1363461509102291.
This article outlines a new social reality of global psycho-pharmaceutical prescribing: the pharmaceutical family, or ;phamily.' Ethnographic case studies from Manitoba, Canada (2002 to 2004) show how pharmaceutical emplotment, involving a synergy between cultural and drug scripts, can have uncanny consequences for vulnerable groups, such as Aboriginal children. Observations and interview transcripts of high prescribing doctors are analyzed to understand the prescribing logic of using psychoactive medication, such as methylphenidate, in young Aboriginal children diagnosed with FASD and/or ADHD. Pharmaceutical narratives are presented in order to show how non-compliance to psychotropic prescribing can further marginalize Aboriginal children and is related to the history of colonial practices in Canada.
药物家族，或“药族”。来自加拿大曼尼托巴省的人种志案例研究（2002年至2004年）表明，药物情节设置，涉及文化脚本与药物脚本之间的协同作用，可能会给弱势群体，如原住民儿童，带来意想不到的后果。对高处方量医生的观察和访谈记录进行分析，以了解在诊断患有胎儿酒精谱系障碍（FASD）和/或注意力缺陷多动障碍（ADHD）的原住民幼儿中使用精神活性药物，如哌醋甲酯的处方逻辑。呈现药物叙事是为了表明不遵守精神药物处方如何会进一步边缘化原住民儿童，以及这与加拿大殖民历史的关系。
